A nurse is working with a woman who has been reluctant to start a walking program for her osteoporosis. What assessment by the nurse is most important?

Lack of energy

Lack of time

Pain with movement

Fear of falling

Answer and Explanation

The Correct Answer is D

A.   While lack of energy can be a barrier to exercise, it is not as specific to the fear of falling.
B.   This is a common barrier to exercise for many people, but it does not specifically address the fear of falling.

C.   If the patient is experiencing pain with movement, it is important to address this before starting an exercise program. However, fear of falling is a more specific concern related to osteoporosis.
D.   Osteoporosis is a condition characterized by decreased bone density, which can increase the risk of fractures. A walking program can help improve bone health and reduce the risk of falls. However, many people with osteoporosis may be reluctant to start a walking program due to fear of falling.

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Correct Answer is C

Explanation

A. This action demonstrates a willingness to understand and respect the patient’s cultural beliefs. By asking for more details, the nurse shows interest in the patient's perspective and opens a dialogue to better understand the cultural context of their health beliefs.
B. This action involves the nurse taking the initiative to understand the cultural practices and dietary beliefs of the patient. By researching these beliefs, the nurse can gain insight into how the patient's culture views dietary management and how it might be integrated into their overall care. However, while researching is valuable, it does not directly engage with the patient’s beliefs or preferences in a clinical context.
C. By discussing how to incorporate the patient’s dietary preferences into their treatment plan, the nurse is showing respect for the patient's cultural beliefs while still working within the medical framework. This approach helps to integrate the patient’s cultural practices with conventional medical treatment, fostering a collaborative approach to care.
D. This action is also a good example of cultural accommodation. By involving a registered nutritionist, the nurse is providing the patient with professional guidance that aligns with their cultural beliefs about dietary management. This approach respects the patient’s preferences and provides expert advice on how to incorporate those preferences into a medically sound treatment plan.

A. review the listed medications for possible interactions B. explain to the patient the dangers of taking so many different medications C. evaluate the patients understanding of why he is taking each medication D. confirm with the physician that all the medications are required

Correct Answer is A

Explanation

A. When a patient is taking multiple medications, it's important to review them for potential interactions. Polypharmacy, the use of multiple medications, is common in older adults and can increase the risk of adverse drug reactions, side effects, and decreased effectiveness of medications.
B. While it's important to educate the patient about the risks of polypharmacy, the nurse's initial priority should be to assess the medications for potential interactions.
C. This is an important step in patient education, but it should be done after the nurse has reviewed the medications for potential interactions.
D. While it's important to verify the appropriateness of each medication, the nurse's initial priority should be to assess for potential interactions.

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A nurse is working with a woman who has been reluctant to start a walking program for her osteoporosis. What assessment by the nurse is most important?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A Hispanic patient explains that the Hispanic culture believes that dietary management would be just as effective in managing her problems as medication, so the patients prescription has not been filled. Which action by the nurse illustrates cultural accommodation?

Correct Answer is C

Explanation

The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications. The nurses initial intervention is to:

Correct Answer is A

Explanation

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